FLORENCE ANN JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177324

License Status

NOT RENEWED

Business

First Name

FLORENCE

Middle

ANN

Last Name

JACKSON

Business Name

FLORENCE ANN JACKSON

Original Issue Date

06/25/2007

Effective Date

02/04/2021

Expiration Date

05/31/2022

City

GARY

State

Zip

46402

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022